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Individual

AMY STOKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1499 HUNTINGTON DR, SOUTH PASADENA, CA 91030-4552
(626) 403-4370
Mailing address
7255 KATHERINE AVE, VAN NUYS, CA 91405-2434

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
71650
CA
1041C0700X
Clinical Social Worker
71650
CA
1041C0700X
Clinical Social Worker
Primary
90579
CA

Other

Enumeration date
09/28/2015
Last updated
05/11/2023
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